When a patient shows symptoms of pneumonia, the nurse knows to first understand three key factors about the disease, including
A. The infectious agents that cause disease
B. The environment relevant to the transmission of disease from one person to another
C. Who is at risk for becoming infected
D. All of the above
ANS: D
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A patient in shock is receiving an infusion of dopamine when it is discovered that an extravasation has occurred. What drug should be on standby for this occurrence?
A) Phenylephrine B) Propranolol C) Phenylalanine D) Phentolamine
A client is prescribed benztropine. The nurse would administer the drug cautiously and monitor the client closely if the client also had a diagnosis of which of the following? Select all that apply
A) Hyperthyroidism B) Hepatic disease C) Renal disease D) Epilepsy E) Hypertension
The nurse is working with a student nurse during assessment of a 2-hour-old newborn. Which action indicates that the student nurse understands neonatal assessment?
1. The student nurse listens to bowel sounds then assesses the head for skull consistency and size and tension of fontanelles. 2. The student nurse checks for Ortolani's sign, then palpates the femoral pulse, then assesses respiratory rate. 3. The student nurse determines skin color, then describes the shape of the chest and looks at structures and flexion of the feet. 4. The student nurse counts the number of cord vessels, then assesses genitals, then sclera color and eyelids.
The postpartum patient who delivered 2 days ago has developed endometritis. Which charting entry would the nurse expect to find in this patient's chart?
1. "Cesarean birth performed secondary to arrest of dilation." 2. "Rupture of membranes occurred 2 hours prior to delivery." 3. "External fetal monitoring used throughout labor." 4. "Patient has history of pregnancy-induced hypertension."